Anatomic variations of the nasal cavity and paranasal sinus and their correlation with chronic rhinosinusitis using Harvard staging system

Espinosa, Wenrol; Genito, Rolen; Ramos, Rachel Zita

doi:10.15406/joentr.2018.10.00343

Cited by 9 publications

(18 citation statements)

References 12 publications

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“…One of the studies 11 has stated that there was significant association existed between uncinate bulla and ethmoid bulla with sinus-mucosal infection also, reported frequency of variants as DNS (59.5%), CB (67.5%) and agger-nasi cells (74.8%). Another study 12 reported that strong correlation was recognized between agger-nasi cells, DNS, turbinate variants with rhinosinusitis also, stated incidence of DNS (20.0%), CB (11.7%) and agger-nasi cells (78.3%). These results were compatible with the results of Madani et al, and Suri et al, that showed there was strong association between anatomical variants and rhinosinusitis.…”

Section: Discussionmentioning

confidence: 87%

A CT-Scan review of anatomical variants of sinonasal region and its correlation with symptoms of sinusitis (nasal obstruction, facial pain and rhinorrhea)

Qureshi

Usmani²

2020

Pak J Med Sci

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Objective: To determine the incidence of anatomical variants of sinonasal region and its correlation with symptoms of sinusitis. Methods: The study was conducted from January-June 2020 at Radiology Department of PNS Shifa Hospital, Karachi. The study involved 50 symptomatic subjects of sinusitis with age ranges from 18-60 years which were prepared for computed tomography of paranasal sinuses. The scans were reviewed for nasal-septum, turbinates, uncinate process, ethmoid air-cells along with other anatomical variants and were correlated with symptoms of sinusitis. Results: Out of 50 subjects, 34 were males and 16 were females with mean age of 42.68±18.22 years. Most common anatomical variants observed were agger nasi cells (64%), deviated nasal septum (56%), and concha-bullosa (46%). Statistically significant correlation existed between bilateral agger nasi cells and nasal obstruction (p=0.017, ρ=-0.336). Conclusion: The anatomy of sinonasal region is highly complex. However, anatomical variants can disturb the sinus mucociliary drainage pathway resulting in patient suffering. Therefore, considering the variable anatomy of sinonasal region, CT-PNS is recommended for every subject in order to avoid surgical hazards. doi: https://doi.org/10.12669/pjms.37.1.3260 How to cite this:Qureshi MF, Usmani A. A CT-Scan review of anatomical variants of sinonasal region and its correlation with symptoms of sinusitis (nasal obstruction, facial pain and rhinorrhea). Pak J Med Sci. 2021;37(1):195-200. doi: https://doi.org/10.12669/pjms.37.1.3260 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Section: Discussionmentioning

confidence: 87%

A CT-Scan review of anatomical variants of sinonasal region and its correlation with symptoms of sinusitis (nasal obstruction, facial pain and rhinorrhea)

Qureshi

Usmani²

2020

Pak J Med Sci

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“…The prevalence of disease process in maxillary sinus was ranged from 7.5% to 66% 15 . The most frequent pathological findings of the maxillary sinus were sinus opacification, sinusitis, and mucosal thickening 26,13 .…”

Section: Literature Reviewmentioning

confidence: 99%

“…Rysz M, Bakoñ L 52 Vincent TE, Gendeh BS 51 Amusa YB, Eziyi JA, et al 54 Fadda GL, Rosso S, et al 49 Adeel M, Rajput MS et al 55 Al-Abri R, Bhargava D et al 53 Tiwari R, Goyal R 50 Dasar U, Gokce E 19 Gouripur K, et al 16 Alsowey AM, Abdulmonaem G et al 15 Kalaiarasi R, Ramakrishnan V et al 17 Espinosa W, Genito R et al 26 Yazici D. 47 Shrestha KK, Acharya K et al 48…”

Section: Comparisonmentioning

confidence: 99%

Clinically Significant Variation of Paranasal Sinuses on CT-Scan

Qureshi¹,

Usmani²

2021

J. Bahria Univ. Med. Dent. Coll.

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Anatomical variations are not diseases and can be found in every individual. Due to the anatomical variations, the structural changes occur in nearby anatomical relations. By keeping in mind, the vast range of anatomical variations in nasal cavity and paranasal sinuses (PNS), every case of sinusitis must be planned carefully to avoid dreadful complications of surgical procedures. Sinus anatomical variations have been associated with the etiology of sinusitis. In this regard computed tomography (CT) imaging has become an important diagnostic tool. CT Scan imaging of nose and para nasal sinuses is mandatory in patients with history of sinusitis in order to evaluate the detailed anatomy which includes normal anatomy, anatomical variations, bony details and the extent of the disease pathology. Certain anatomical variants are supposed to be a causative factor for development of sinus pathology and hence it becomes compulsory for the radiologist to be aware of the anatomical variants of nasal cavity and PNS especially if the subject is considered for surgical intervention.

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“…Also, it can narrow the middle meatus by moving the nasal concha laterally [ 10 ]. A recent study showed septal deviation resulting in a concavity on the other side of the septum and narrowing of the contralateral side [ 11 ]. In addition to nasal obstruction, septal deviation can obstruct the path of nasal drainage and impair the mucociliary clearance, leading to nasal congestion and secondary infection of the sinuses [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Type and Severity of Nasal Septal Deviation between Chronic Rhinosinusitis Patients Undergoing Functional Endoscopic Sinus Surgery and Controls

Nikkerdar

Karimi

Bazmayoon

et al. 2022

International Journal of Dentistry

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Objectives. Some correlations have been proposed between chronic rhinosinusitis (CRS) and type and severity of nasal septal deviation. This study sought to compare the type and severity of nasal septal deviation between CRS patients undergoing functional endoscopic sinus surgery (FESS) and asymptomatic controls using cone-beam computed tomography (CBCT). Materials and Methods. This prospective case-control study evaluated 49 CRS patients who did not respond to pharmaceutical therapy and were candidates for FESS and 49 asymptomatic controls. All participants underwent CBCT and were inspected for septal deviation type and severity. Data were analyzed by the independent t-test and chi-square test. Results. The study population comprised of 58.25% males and 41.8% females, with a mean age of 33.74 ± 11.78 years. Significant correlations were noted between the presence of CRS and severity of septal deviation ( P = 0.007 ). Type of septal deviation had no significant correlation with the presence of CRS ( P = 0.443 ). Conclusion. Patients with CRS have significantly more severe nasal septal deviation. However, type of septal deviation is not correlated with CRS.

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Anatomic variations of the nasal cavity and paranasal sinus and their correlation with chronic rhinosinusitis using Harvard staging system

Abstract: This is a retrospective study of all adults (>18 years old) clinically diagnosed to have chronic rhinosinusitis (CRS) at a tertiary government hospital who underwent paranasal sinus CT scan from January 2014 to April 2017.

Cited by 9 publications

References 12 publications

A CT-Scan review of anatomical variants of sinonasal region and its correlation with symptoms of sinusitis (nasal obstruction, facial pain and rhinorrhea)

A CT-Scan review of anatomical variants of sinonasal region and its correlation with symptoms of sinusitis (nasal obstruction, facial pain and rhinorrhea)

Clinically Significant Variation of Paranasal Sinuses on CT-Scan

Comparison of the Type and Severity of Nasal Septal Deviation between Chronic Rhinosinusitis Patients Undergoing Functional Endoscopic Sinus Surgery and Controls

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